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Journal articles on the topic 'Narcissistic personality disorder'

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Author: Grafiati

Published: 4 June 2021

Last updated: 27 January 2023

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1

Hartouni, Zizik S. "Effects of Narcissistic Personality Organization on Causal Attributions." Psychological Reports 71, no. 3_suppl (December 1992): 1339–46. http://dx.doi.org/10.2466/pr0.1992.71.3f.1339.

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The present study addressed a central, although neglected, aspect of research into narcissism and attributions, the role of cognitive-perceptual processes and cognitive styles of individuals with narcissistic personality disorder in their causal explanation of events. The extent to which narcissistic personality organization may be a determinant of attributional style was examined. The sample consisted of 20 individuals with narcissistic personality disorders and 20 with neurotic disorders. Participants completed the Narcissistic Personality Inventory-40 and the Attributional Style Questionnaire. A significant association between narcissistic personality disorder and internal, stable attributions for positive outcomes was observed. The reformulated learned helplessness model of depression was used to interpret the attributional style of the narcissists as means to obliterate experience of helplessness. The results are discussed in terms of the role of self-esteem and maintenance of self-presentation in the skewed attributional biases of narcissists.

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2

Hoffman, Jeremy, Adiele Hughes, Andrew Allard, and Sarah Greenough. "Narcissistic Personality Disorder." London Student Journal of Medicine 1, no. 1 (June 15, 2009): 30–31. http://dx.doi.org/10.4201/lsjm.psy.004.

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3

Cichminski, Lucille, and Tamara L. Bellomo. "Narcissistic personality disorder." Nursing Made Incredibly Easy! 14, no. 1 (2016): 36–42. http://dx.doi.org/10.1097/01.nme.0000475165.10782.87.

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4

Ronningstam, Elsa. "Narcissistic Personality Disorder." Journal of Psychiatric Practice 17, no. 2 (March 2011): 89–99. http://dx.doi.org/10.1097/01.pra.0000396060.67150.40.

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5

Scrandis, Debra A. "Narcissistic personality disorder." Nurse Practitioner 45, no. 5 (May 2020): 13–15. http://dx.doi.org/10.1097/01.npr.0000653968.96547.e7.

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6

Ronningstam, Elsa. "Narcissistic personality disorder." Personality and Mental Health 5, no. 3 (July 26, 2011): 222–27. http://dx.doi.org/10.1002/pmh.172.

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7

Sari, Dewi Purnama. "Gangguan Kepribadian Narsistik dan Implikasinya Terhadap Kesehatan Mental." Islamic Counseling : Jurnal Bimbingan Konseling Islam 5, no. 1 (May 23, 2021): 93. http://dx.doi.org/10.29240/jbk.v5i1.2633.

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On the one hand, the development of social media can provide convenience to the community, both in communication, in developing science and in the economic aspect. But on the other hand, the development of social media also has a negative impact on society. One of the negative impacts of using social media is that it can cause personality disorders, give birth to narcissistic attitudes and behaviors and can interfere with mental health. This study aims to describe the narcissistic personality disorder, the symptoms of a person experiencing narcissistic personality disorder, efforts to overcome narcissistic personality disorder and the relationship between narcissistic personality and mental health. The method used is a research library. The data collection technique used document study, then analyzed using content analysis. The results of the discussion show that narcissistic personality disorder is basically a personality disorder caused by a person's excessive attitude or behavior in seeing himself. If the narcissistic personality causes disruption of life functions, it will have the potential to disrupt mental health.

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8

Dammann, Gerhard. "Narcissism and Narcissistic Personality Disorder." Psychosomatic Medicine and General Practice 2, no. 2 (April 26, 2017): 020229. http://dx.doi.org/10.26766/pmgp.v2i2.29.

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This a video is one of the series of lectures about personality disorders. It covers the concept of narcissism and the concept of narcissism personality disorder. The lecture is mainly focused on the differences between normal and pathological narcissism as well as etiology, diagnosis and practical recommendations on treatment of narcissism personality disorder.

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9

Ronningstam, Elsa, and John Gunderson. "Differentiating Borderline Personality Disorder from Narcissistic Personality Disorder." Journal of Personality Disorders 5, no. 3 (September 1991): 225–32. http://dx.doi.org/10.1521/pedi.1991.5.3.225.

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10

Aslinger, Elizabeth N., Stephen B. Manuck, Paul A. Pilkonis, Leonard J. Simms, and Aidan G. C. Wright. "Narcissist or narcissistic? Evaluation of the latent structure of narcissistic personality disorder." Journal of Abnormal Psychology 127, no. 5 (July 2018): 496–502. http://dx.doi.org/10.1037/abn0000363.

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11

Musa Ph.D, Prof Ina̛am Lafta. "Vanity and Narcissistic Personality Disorder." ALUSTATH JOURNAL FOR HUMAN AND SOCIAL SCIENCES 216, no. 2 (November 11, 2018): 159–94. http://dx.doi.org/10.36473/ujhss.v216i2.596.

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Vanity and narcissistic personality disorder share common qualities make it difficult ,to some extent, to differentiate them. There are theoretical opinions which suggest that vanity is a characteristic of narcissistic personality traits. The two variables have been studied from a psychoanalytic point of view, and despite the lack of studies and literature on the variable of vanity, still there is a number of studies that have tried to find a relationship between the two variables and this is what is aimed at in the current study. In other words, the aim is to find a relationship between vanity and narcissistic personality disorder in addition to measuring both variables separately and finding the difference in each one of them on the levels of the two variables: sex and specialization. To achieve this ,vanity and narcissistic personality disorder scale has been applied on a sample of 220 female and male students from University of Baghdad . The results were that the students are characterized by vanity and there is a difference in it in favor of males and students with scientific specialization who are also well known for their narcissistic personality disorder. There was no difference between males and females,while there was a difference in favor of students of scientific specialization. A number of recommendations and proposals was presented in the light of that

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12

Ohk, Kyungyoung. "Narcissistic Personality Disorder in SNS." International Journal of IT-based Social Welfare Promotion and Management 3, no. 1 (December 30, 2016): 173–78. http://dx.doi.org/10.21742/ijswpm.2016.3.27.

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13

Trull, Timothy J. "Ruminations on narcissistic personality disorder." Personality Disorders: Theory, Research, and Treatment 5, no. 2 (2014): 230–31. http://dx.doi.org/10.1037/per0000009.

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14

Siomopoulos, V. "Narcissistic Personality Disorder: Clinical Features." American Journal of Psychotherapy 42, no. 2 (April 1988): 240–53. http://dx.doi.org/10.1176/appi.psychotherapy.1988.42.2.240.

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15

Paris, Joel. "Modernity and narcissistic personality disorder." Personality Disorders: Theory, Research, and Treatment 5, no. 2 (2014): 220–26. http://dx.doi.org/10.1037/a0028580.

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16

Kernberg, Paulina F. "Narcissistic Personality Disorder in Childhood." Psychiatric Clinics of North America 12, no. 3 (September 1989): 671–94. http://dx.doi.org/10.1016/s0193-953x(18)30421-0.

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17

Karterud, Sigmund. "Commentary on narcissistic personality disorder." Personality and Mental Health 5, no. 3 (July 7, 2011): 235–37. http://dx.doi.org/10.1002/pmh.174.

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18

Solano, João Paulo Consentino. "Chronic failure in the treatment of chronic pain? The silent influence of the personality and its disorders." Acta Fisiátrica 21, no. 2 (June 9, 2014): 93–100. http://dx.doi.org/10.11606/issn.2317-0190.v21i2a103839.

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Patients with non-oncologic chronic pain conditions commonly present with psychiatric symptoms and disorders. In a sample of non-oncologic chronic pain patients referred for psychiatric consultation, personality disorders were found more frequently than any other diagnosis, including major depression. Borderline and narcissistic personality disorders were the most common psychiatric diagnoses in the group. This paper debates such findings along with a literature review carried out using the keywords chronic pain, borderline personality disorder, and narcissistic personality disorder. Diagnostic criteria for the personality disorders are shown, as well as some “soft signs” that may indicate the disorder. Two vignettes exemplify each of the personality disorders; finally, some recommendations are offered to ease the clinical management of such patients by multi-professional teams for chronic pain patients.

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19

Löbert, Conny, and Carsten Giebe. "Social Work as a Supplementary Treatment Option for Narcissistic Personality Disorders." International Journal of Psychological Studies 13, no. 2 (March 12, 2021): 1. http://dx.doi.org/10.5539/ijps.v13n2p1.

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This paper discusses selected scientific aspects of Narcissistic Personality Disorder. The main purpose of this research paper is to examine the extent to which patients with Narcissistic Personality Disorder can be supported and treated within the framework of social work-based community psychiatry. To this end, the Diagnostic and Statistical Manual of Mental Disorders will be used to address the problem of invisible distress and the difficulties of differential diagnosis. Furthermore, psychodynamic and behavioural treatment calculations are outlined. Based on this, differentiated and systematised considerations on concrete possibilities for social work-community psychiatric activities are made. In doing so, a model was developed which can guarantee a solid and goal-oriented orientation on the basis of the lifeworld of patients with Narcissistic Personality Disorder. Finally, possible problems in the effectiveness of social work in the context of Narcissistic Personality Disorder are discussed. The article is presented in the following order: Introduction and problem statement, Theoretical classification and research question, Methodological approach and model, Discussion and conclusions, and Limitations and directions for further research. The findings of this article may be useful for psychologists and social workers to identify and harness the potential of social work as a supplementary treatment option for Narcissistic Personality Disorder.

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20

Martínez-López, Medina-Mora, Robles-García, Madrigal, Juárez, Tovilla-Zarate, Reyes, Monroy, and Fresán. "Psychopathic Disorder Subtypes Based on Temperament and Character Differences." International Journal of Environmental Research and Public Health 16, no. 23 (November 27, 2019): 4761. http://dx.doi.org/10.3390/ijerph16234761.

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The concept of psychopathy has shifted from people who commit crimes to those with a particular personality and deviant behaviors. Although antisocial personality disorder is associated with psychopathy, it also seems common in individuals with narcissistic personality traits. Psychopathy may be the expression of earlier, persistent patterns of individual characteristics as personality. The psychobiological model of personality can be useful for determining whether the expression of psychopathy differs in accordance with personality dimensions and specific personality disorders. The aim was to compare temperament and character dimensions between individuals with psychopathy with comorbid predominant antisocial or narcissistic personality traits and control subjects and to determine which dimensions distinguish these groups. Control subjects (n = 80) and individuals with psychopathy (n = 80) were assessed using the Psychopathy Checklist-Reviewed, the Structured Clinical Interview for DSM-IV Axis II disorders and the Temperament and Character Inventory-Revised. Reward dependence and Self-Directedness distinguish psychopathic individuals with predominant narcissistic personality traits whereas Novelty Seeking and Self-Transcendence characterize those with antisocial personality traits. Individuals with antisocial or narcissistic psychopathy could be identified by their temperament and character traits. The expression of psychopathy differed in accordance with biologically based, environmentally shaped personality traits.

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21

Castlebury, Frank D., Mark J. Hilsenroth, Leonard Handler, and Thomas W. Durham. "Use of the MMPI-2 Personality Disorder Scales in the Assessment of DSM-IV Antisocial, Borderline, and Narcissistic Personality Disorders." Assessment 4, no. 2 (June 1997): 155–68. http://dx.doi.org/10.1177/107319119700400205.

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This study explored the diagnostic utility of the MMPI-2 Personality Disorder (MMPI-2 PD) scales to correctly classify three Cluster B Personality Disorders (Antisocial, Borderline, and Narcissistic Personality Disorder). Classification was compared against the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) chart diagnoses checked for interrater agreement. MMPI-2 PD scale scores for 53 outpatients diagnosed with a Cluster B Personality Disorder were contrasted with an Other Personality Disorder group ( n = 20) and a nonclinical population ( n = 67). Scores for both the overlapping and nonoverlapping scales of the MMPI-2 PD scales were used in calculating diagnostic efficiency statistics. In support of past findings, results suggest the MMPI-2 PD scales should be used conservatively; they are best at screening for presence or absence of a personality disorder, identifying members of personality disorder clusters, and identifying negative occurrences of specific personality disorders or personality disorder clusters. Findings endorse the use of both versions of the Antisocial Personality Disorder scale and the overlapping version of the Borderline Personality Disorder scale. Use of the Narcissistic Personality Disorder scales is recommended for negative predictive power values only. A multimodal approach is recommended, whereby assessment measures may be used conjointly to improve diagnostic efficiency.

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22

Martin, Ramon F., Ajay D. Wasan, and Sukumar P. Desai. "An Appraisal of William Thomas Green Morton's Life as a Narcissistic Personality." Anesthesiology 117, no. 1 (July 1, 2012): 10–14. http://dx.doi.org/10.1097/aln.0b013e31825922e1.

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The troubled life and death of William Thomas Green Morton has been described in several texts. His first public demonstration of ether anesthesia was the highpoint of a life that was less than successful in many of his endeavors. Close examination of this life reveals a pattern of behavior that progresses from narcissistic traits to narcissistic personality pathology. This retrospective psychiatric analysis of Morton's life was undertaken to theorize as to why Morton, after having successfully demonstrated ether anesthesia, did not continue to develop anesthesia as a clinical specialty. Biographies about Morton were used to explore details of his life. The Diagnostic and Statistical Manual of Mental Disorders classification of narcissistic personality disorder was used to analyze his life. We conclude that Morton progressed from displaying narcissistic personality trait to disorder over his lifetime.

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23

Şchiopu, Lia, Robert Zgarbură, Alexandru Iacobiţă, Petrică Felea, and Ana Giurgiuca. "Paranoid Schizophrenia and Narcissistic Personality Disorder." Psihiatru.ro 2, no. 53 (2018): 32. http://dx.doi.org/10.26416/psih.53.2.2018.1786.

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24

Ronningstam, Elsa. "Narcissistic Personality Disorder: Facing DSM-V." Psychiatric Annals 39, no. 3 (March 1, 2009): 111–21. http://dx.doi.org/10.3928/00485713-20090301-09.

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25

Pincus, Aaron L., and Mark R. Lukowitsky. "Pathological Narcissism and Narcissistic Personality Disorder." Annual Review of Clinical Psychology 6, no. 1 (March 2010): 421–46. http://dx.doi.org/10.1146/annurev.clinpsy.121208.131215.

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26

Skodol, Andrew E., Donna S. Bender, and Leslie C. Morey. "Narcissistic personality disorder in DSM-5." Personality Disorders: Theory, Research, and Treatment 5, no. 4 (October 2014): 422–27. http://dx.doi.org/10.1037/per0000023.

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27

Ronningstam, Elsa. "An update on narcissistic personality disorder." Current Opinion in Psychiatry 26, no. 1 (January 2013): 102–6. http://dx.doi.org/10.1097/yco.0b013e328359979c.

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28

Yeomans,, Frank, and Eve Caligor,. "Narcissistic Personality Disorder: The Treatment Challenge." Psychiatric News 51, no. 9 (May 6, 2016): 1. http://dx.doi.org/10.1176/appi.pn.2016.5a19.

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29

Miller, Joshua D., W. Keith Campbell, Paul A. Pilkonis, and Jennifer Q. Morse. "Assessment Procedures for Narcissistic Personality Disorder." Assessment 15, no. 4 (May 15, 2008): 483–92. http://dx.doi.org/10.1177/1073191108319022.

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30

Fernando, Joseph. "The Etiology of Narcissistic Personality Disorder." Psychoanalytic Study of the Child 53, no. 1 (January 1998): 141–58. http://dx.doi.org/10.1080/00797308.1998.11822480.

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31

Elsa, Ronningstam, and John Gunderson. "Descriptive Studies on Narcissistic Personality Disorder." Psychiatric Clinics of North America 12, no. 3 (September 1989): 585–601. http://dx.doi.org/10.1016/s0193-953x(18)30416-7.

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32

Capps, Donald. "God Diagnosed with Narcissistic Personality Disorder." Pastoral Psychology 58, no. 2 (July 10, 2008): 193–206. http://dx.doi.org/10.1007/s11089-008-0139-9.

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33

Ronningstam, Elsa. "Alliance Building and Narcissistic Personality Disorder." Journal of Clinical Psychology 68, no. 8 (June 21, 2012): 943–53. http://dx.doi.org/10.1002/jclp.21898.

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34

Ronningstam, Elsa. "Narcissistic Personality Disorder: A Current Review." Current Psychiatry Reports 12, no. 1 (January 8, 2010): 68–75. http://dx.doi.org/10.1007/s11920-009-0084-z.

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35

Dimaggio, Giancarlo. "Narcissistic personality disorder and becoming old." Personality and Mental Health 8, no. 1 (January 8, 2014): 89–90. http://dx.doi.org/10.1002/pmh.1251.

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36

Wardani, Silvia Yula, and Rischa Pramudia Trisnani. "Efektivitas Konseling Rational Emotive Behavior Therapy (REBT) untuk Mereduksi Narcissistic Personality Disorder." Indonesian Journal of Educational Counseling 6, no. 2 (July 14, 2022): 96–102. http://dx.doi.org/10.30653/001.202262.193.

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EFFECTIVENESS OF RATIONAL EMOTIVE BEHAVIOR THERAPY COUNSELING TO REDUCE NARCISSISTIC PERSONALITY DISORDER. This study aims to determine the effectiveness of rational counseling emotional behavior therapy to reduce narcissistic personality disorder. This research method is an experiment with the One Group Pretest-Posttest Design method. The subjects of this study were students of SMA Negeri 4 Madiun who had a high level of narcissistic personality disorder. The sampling technique used in this research is purposive sampling, namely the selection of research samples based on the research objectives. The research instrument used is a questionnaire. The data analysis technique used a different test or t test. The results showed that the Sign 2 tailed value was 0.000 so it could be said as an effective counseling service for Rational Emotive Behavior Therapy to reduce narcissistic personality disorder.

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37

Links, Paul S., Brent Gould, and Ruwan Ratnayake. "Assessing Suicidal Youth with Antisocial, Borderline, or Narcissistic Personality Disorder." Canadian Journal of Psychiatry 48, no. 5 (June 2003): 301–10. http://dx.doi.org/10.1177/070674370304800505.

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Objective: This paper has 3 objectives. First, we review the epidemiologic evidence for the association between suicidal behaviour and suicide in individuals diagnosed with antisocial, borderline, or narcissistic personality disorder. Second, we examine whether any potentially modifiable risk factors are associated with these diagnoses, based on existing empirical evidence. Last, we discuss clinical approaches to assessing youth with antisocial, borderline, or narcissistic personality disorder presenting at risk for suicide. Method: We reviewed the English-language literature for the last 12 years (from January 1, 1991, to December 31, 2002), using as search terms the names of the 3 disorders, as well as the key words suicide, suicidal behaviour, youth, and adolescents. Results: Patients with antisocial or borderline personality disorder are likely to be at increased risk for suicidal behaviour when they demonstrate such comorbid disorders as major depressive episodes or substance abuse disorders, when they experience recent negative life events, or when they have a history of childhood sexual abuse. Conclusions: For patients with antisocial personality disorder, the risk of violence has to be judged in addition to the risk of suicide or self-harm. For patients with borderline personality disorder, interventions are determined by differentiating acute-on-chronic from chronic risk of suicidal behaviour. Finally, patients with narcissistic personality disorder can be at high risk for suicide during periods when they are not suffering from clinical depression. These episodes can seem to be unpredictable.

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38

Curtis, John M., and Valerie M. Susman. "Considerations in Misdiagnosis of Narcissistic Personality Disorder." Psychological Reports 74, no. 2 (April 1994): 408–10. http://dx.doi.org/10.2466/pr0.1994.74.2.408.

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The present paper identified some diagnostic considerations which might be responsible for misdiagnoses of narcissistic personality disorder. Although conventional diagnostic criteria, e.g., DSM-III—R, for narcissistic personality disorder have suggested a rather homogeneous set of features including, e.g., inflated grandiosity, excessive omnipotence, overt arrogance, diminished empathic capacities, onanistic behavior, pathological self-centeredness, and propensities toward self-indulgence, many narcissistic conditions are misdiagnosed because the symptoms are less obvious if not altogether camouflaged. Diagnostic miscalculations can often mislead clinicians from focusing on verifiable and essential aspects of the disorder and lead to unnecessary therapeutic detours and eventual failures. Improved recognition of the heterogeneity of such patients might improve diagnostic consistency and eventual therapeutic outcome.

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39

Miller, J. D., E. T. Gaughan, L. R. Pryor, C. Kamen, and W. K. Campbell. "Is research using the narcissistic personality inventory relevant for understanding narcissistic personality disorder?" Journal of Research in Personality 43, no. 3 (June 2009): 482–88. http://dx.doi.org/10.1016/j.jrp.2009.02.001.

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40

FAVA, M., A. H. FARABAUGH, A. H. SICKINGER, E. WRIGHT, J. E. ALPERT, S. SONAWALLA, A. A. NIERENBERG, and J. J. WORTHINGTON III. "Personality disorders and depression." Psychological Medicine 32, no. 6 (August 2002): 1049–57. http://dx.doi.org/10.1017/s0033291702005780.

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Background. Personality disorders (PDs) were assessed among depressed out-patients by clinical interview before and after antidepressant treatment with fluoxetine to assess the degree of stability of PD diagnoses and determine whether changes in PD diagnoses across treatment are related to the degree of improvement in depressive symptoms.Method. Three hundred and eighty-four out-patients (55% women; mean age = 39.9±10.5) with major depressive disorder (MDD) diagnosed with the SCID-P were enrolled into an 8 week trial of open treatment with fluoxetine 20 mg/day. The SCID-II was administered to diagnose PDs at baseline and endpoint.Results. A significant proportion (64%) of our depressed out-patients met criteria for at least one co-morbid personality disorder. Following 8 weeks of fluoxetine treatment, there was a significant reduction in the proportion of patients meeting criteria for avoidant, dependent, passive-aggressive, paranoid and narcissistic PDs. From baseline to endpoint, there was also a significant reduction in the mean number of criteria met for paranoid, schizotypal, narcissistic, borderline, avoidant, dependent, obsessive–compulsive, passive aggressive and self-defeating personality disorders. While changes in cluster diagnoses were not significantly related to improvement in depressive symptoms, there were significant relationships between degree of reduction in depressive symptoms (percentage change in HAM-D-17 scores) and degree of change in the number of criteria met for paranoid, narcissistic, borderline and dependent personality disorders.Conclusions. Personality disorder diagnoses were found to be common among untreated out-patients with major depressive disorder. A significant proportion of these patients no longer met criteria for personality disorders following antidepressant treatment, and changes in personality disorder traits were significantly related to degree of improvement in depressive symptoms in some but not all personality disorders. These findings suggest that the lack of stability of PD diagnoses among patients with current MDD may be attributable in part to a direct effect of antidepressant treatment on behaviours and attitudes that comprise PDs.

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41

Diamond, Diana, Frank Yeomans, and John R. Keefe. "Transference-Focused Psychotherapy for Pathological Narcissism and Narcissistic Personality Disorder (TFP-N)." Psychodynamic Psychiatry 49, no. 2 (June 2021): 244–72. http://dx.doi.org/10.1521/pdps.2021.49.2.244.

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In this article, we provide an overview of transference-focused psychotherapy for patients with pathological narcissism and narcissistic personality disorder (TFP-N). In TFP-N we have modified and refined the tactics and techniques of TFP, an evidence-based treatment for borderline personality disorder, to meet the specific challenges of working with patients with narcissistic personality pathology whose retreat from reality into an illusory grandiosity makes them particularly difficult to engage in treatment. We first describe a model of narcissistic pathology based on considerations of psychological structure stemming from object relations theory. This model provides a unifying understanding of the core structure of narcissistic pathology, the pathological grandiose self, that underlies the impairments in self and interpersonal functioning of those with narcissistic pathology across the levels of personality organization (from high functioning to borderline to malignant). We then delineate the clinical process of working with patients with pathological narcissism and narcissistic personality disorder. Starting with the assessment process, using a detailed clinical example, we guide the reader through the progression of TFP-N as it helps the patient move from the distorted, unintegrated sense of self underlying the narcissistic presentation to the more integrated, realistic sense of self that characterizes healthier personality functioning. In TFP-N the focus on the disturbed interpersonal patterns of relating in the here and now of the therapeutic interaction is the vehicle to diminish grandiosity and improve relatedness, thereby effecting enduring changes in mental representation and real-world functioning.

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42

Mustac, Filip, and Darko Marcinko. "Social Aspects of the Relationship between Narcissistic and Borderline Personality Disorder." Socijalna psihijatrija 48, no. 2 (October 21, 2020): 188–209. http://dx.doi.org/10.24869/spsih.2020.188.

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Narcissism is a growing issue in modern society. Society values external, objective successfulness, overindulgence in hedonism, and superficiality more than inner emotional life. Individuals in modern society are faced with an inner emptiness, resulting in narcissistic, grandiose fantasies sometimes being the last defensive mechanism against that painful confrontation. Persons with borderline disorder are envious because they lack the strength of the narcissists, causing them to feel even more empty and powerless. When there is trauma and guilt between two groups of people, it is hard to deal with the issues directly and it is easier to take a narcissistic position projecting everything that is negative onto a person with borderline disorder. This creates a hot-and-cold relationship that constantly replays itself. This brings us to the social aspects of the relationship between narcissistic and borderline personality disorder, which is the topic of this article. Creating an environment and culture of forgiveness is a difficult, but not impossible path. It consists of healthy mourning, sublimating aggression, and encouraging good experiences and new interests. Additionally, it is important to encourage socialization and dialogue because this is the only way to achieve the empathy and altruism that we are trying to evoke and which lead to a better relationship.

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43

Coleman, Daniel, Ryan Lawrence, Amrita Parekh, Hanga Galfalvy, Hilario Blasco-Fontecilla, David A. Brent, J. John Mann, Enrique Baca-Garcia, and Maria A. Oquendo. "Narcissistic Personality Disorder and suicidal behavior in mood disorders." Journal of Psychiatric Research 85 (February 2017): 24–28. http://dx.doi.org/10.1016/j.jpsychires.2016.10.020.

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44

Topic Lukacevic, Silvija, and Ante Bagaric. "Theoretical Concepts of Narcissistic Personality Disorder. Overview of Narcissistic Disorder in Group Analysis." Socijalna psihijatrija 46, no. 3 (October 12, 2018): 285–306. http://dx.doi.org/10.24869/spsih.2018.285.

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45

Yakeley, Jessica. "Current understanding of narcissism and narcissistic personality disorder." BJPsych Advances 24, no. 5 (July 5, 2018): 305–15. http://dx.doi.org/10.1192/bja.2018.20.

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SUMMARYThis article reviews historical contributions to the conceptualisation of narcissism and narcissistic personality disorder (NPD), including its evolution as a clinical diagnosis within the DSM classification of mental disorders. It discusses the epidemiology and aetiology of NPD, noting that empirical studies of both are limited. The challenges of managing patients with prominent narcissistic traits are presented, and the psychological therapies specifically designed for the treatment of patients with NPD are summarised.LEARNING OBJECTIVES•Understand different models of narcissism•Understand the epidemiology, comorbidity and theories of aetiology of NPD•Know how to manage and treat patients with pathological narcissism and NPDDECLARATION OF INTERESTNone.

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Schiavone, Paolo, Stella Dorz, Donatella Conforti, Caterina Scarso, and Giuseppe Borgherini. "Comorbidity of DSM–IV Personality Disorders in Unipolar and Bipolar Affective Disorders: A Comparative Study." Psychological Reports 95, no. 1 (August 2004): 121–28. http://dx.doi.org/10.2466/pr0.95.1.121-128.

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The aim of this study was to compare the prevalence of Personality Disorders assessed by Structured Clinical Interview for Axis-II in 155 inpatients diagnosed with Unipolar Disorder vs inpatients with Bipolar Disorder (39). The most frequent Axis II diagnoses among Unipolar inpatients were Borderline (31.6%), Dependent (25.2%), and Obsessive-Compulsive (14.2%) Personality Disorders. Among Bipolar inpatients, the most prevalent personality disorders were Borderline (41%), Narcissistic (20.5%), Dependent (12.8%), and Histrionic disorders (10.3%). Using chi squared analysis, few differences in distribution emerged between the two groups: Unipolar patients had more recurrent Obsessive-Compulsive Personality Disorder than Bipolar patients (χ12 = 6.24, p < .005). Comorbid Narcissistic Personality Disorder was significantly more frequent in the Bipolar than in the Unipolar group (χ12 = 6.34, p < .01). Considering the three clusters (DSM–IV classification), there was a significant difference between the groups, Cluster C (fearful, avoidant) diagnoses being more frequent in the Unipolar than in the Bipolar group (48.4% vs 20.5%, respectively). Cluster B (dramatic, emotionally erratic) diagnoses were found more frequently in patients with Bipolar Disorders (71.8% vs 45.2% in Unipolar patients, χ22 = 10.1, p < .006). The differences in the distribution and prevalence of Personality Disorders between the two patient groups are discussed.

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Chinnarasri, Pitchapat, Nahathai Wongpakaran, and Tinakon Wongpakaran. "Developing and Validating the Narcissistic Personality Scale (NPS) among Older Thai Adults Using Rasch Analysis." Healthcare 9, no. 12 (December 13, 2021): 1717. http://dx.doi.org/10.3390/healthcare9121717.

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Background: Being older could be stressful, especially among people with narcissistic personality disorders. Nevertheless, the tool is yet to be available among older Thai individuals. The study aimed to develop a tool to detect symptoms of narcissistic personality, and to validate its psychometric properties among older Thai adults. Methods: The Narcissistic Personality Scale (NPS) was developed based on nine domain symptoms of narcissistic personality disorder from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), consisting of 80 items. The original scale was field-tested using Rasch analysis for item reduction, rendering a final 43 items. NPS was further investigated among 296 seniors aged 60 years old. Rasch analysis was used to assess its construct validity. Result: Of 43 items, 17 were further removed as infit or outfit mean square >1.5. The final 26-item NPS met all necessary criteria of unidimensionality and local independence without differential item functioning due to age and sex, and good targeting with subjects. Person and item reliability were 0.88 and 0.95, respectively. No disordered threshold or category was found. Conclusions: The NPS is a promising tool with a proven construct validity based on the Rasch measurement model among Thai seniors. This new questionnaire can be used as outcome measures in clinical practice.

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Hörz-Sagstetter, Susanne, Diana Diamond, John F. Clarkin, Kenneth N. Levy, Michael Rentrop, Melitta Fischer-Kern, Nicole M. Cain, and Stephan Doering. "Clinical Characteristics of Comorbid Narcissistic Personality Disorder in Patients With Borderline Personality Disorder." Journal of Personality Disorders 32, no. 4 (August 2018): 562–75. http://dx.doi.org/10.1521/pedi_2017_31_306.

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This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM-IV. The BPD patients with comorbid NPD, compared to the BPD patients without comorbid NPD, showed significantly more BPD criteria (M = 7.44 vs. M = 6.55, p < .001), fulfilled more criteria of comorbid histrionic (M = 3.84 vs. M = 1.98, p < .001), paranoid (M = 3.12 vs. M = 2.27, p = .014), and schizotypal (M = 1.64 vs. M = 1.02, p = .018) personality disorders, and were more likely to meet criteria for full histrionic PD diagnosis (44.0% vs. 14.2%, p < .001). The BPD-NPD group also reported significantly fewer psychiatric hospitalizations in the previous year (M = 0.40 vs. M = 0.82, p = .019) and fewer axis I disorders (M = 2.68 vs. M = 3.75, p = .033). No differences could be found in general functioning, self-harming behavior, and suicide attempts.

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Gildersleeve, Matthew. "Demystifying Paradoxical Characteristics of Narcissistic Personality Disorder." Indian Journal of Psychological Medicine 34, no. 4 (October 2012): 403–4. http://dx.doi.org/10.4103/0253-7176.108236.

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OHYA, Mutsumi, and Dai OHYA. "A Case Report of Narcissistic Personality Disorder." Journal of Kansai Medical University 42, no. 3 (1990): 215–19. http://dx.doi.org/10.5361/jkmu1956.42.3_215.

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